description: 此Claim iClaim Profile說明本IG如何進一步定義FHIR的Claim Resource以呈現理賠申請書
package_name: tw.cathay.fhir.iclaim
derivation: constraint
name: ClaimiClaim
type: Claim
elements:
  patient:
    type: Reference
    refers: ['https://claim.cgh.org.tw/iclaim/StructureDefinition/patient-iclaim']
    index: 3
  insurance:
    elements:
      coverage:
        type: Reference
        refers: ['https://claim.cgh.org.tw/iclaim/StructureDefinition/coverage-iclaim']
        index: 24
  facility: {index: 14}
  diagnosis:
    elements:
      diagnosis:
        choices: [diagnosisReference]
        index: 18
      diagnosisReference:
        type: Reference
        choiceOf: diagnosis
        refers: ['https://claim.cgh.org.tw/iclaim/StructureDefinition/condition-iclaim']
        index: 19
      type: {index: 20}
      onAdmission: {index: 21}
      packageCode: {index: 22}
  enterer: {index: 5}
  supportingInfo: {index: 16}
  use:
    pattern: {type: Code, value: claim}
    index: 2
  item:
    mustSupport: true
    index: 26
    elements:
      category:
        binding: {strength: required, valueSet: 'https://claim.cgh.org.tw/iclaim/ValueSet/hl7-pricecomponenttype-values'}
        mustSupport: true
        index: 27
      productOrService:
        short: 即為「費用項目」，Billing, service, product, or drug code
        binding: {strength: required, valueSet: 'https://claim.cgh.org.tw/iclaim/ValueSet/cathay-chargeitemcode-values'}
        mustSupport: true
        index: 28
      modifier:
        short: 即為「就醫身分」，Product or service billing modifiers
        binding: {strength: required, valueSet: 'https://claim.cgh.org.tw/iclaim/ValueSet/hl7-medicalidentity-values'}
        mustSupport: true
        index: 29
      serviced:
        mustSupport: true
        choices: [servicedDate]
        index: 31
      servicedDate: {type: date, mustSupport: true, choiceOf: serviced, index: 32}
      net: {short: 即為「自付金額／健保點數／減免」，Total item cost, mustSupport: true, index: 33}
      encounter:
        type: Reference
        refers: ['https://claim.cgh.org.tw/iclaim/StructureDefinition/encounter-iclaim']
        index: 34
    required: [servicedDate, serviced]
  procedure: {index: 23}
  related: {index: 9}
  referral: {index: 13}
  total: {short: 即為「收據金額」，Total claim cost, mustSupport: true, index: 35}
  insurer: {index: 6}
  fundsReserve: {index: 8}
  accident: {index: 25}
  payee: {index: 12}
  prescription: {index: 10}
  billablePeriod: {index: 4}
  identifier: {short: 即為「案件編號」，Business Identifier for claim, mustSupport: true, index: 0}
  subType: {index: 1}
  provider:
    type: Reference
    refers: ['https://twcore.mohw.gov.tw/ig/twcore/StructureDefinition/Organization-hosp-twcore']
    index: 7
  originalPrescription: {index: 11}
  careTeam: {index: 15}
package_version: 0.1.1
class: profile
kind: resource
url: https://claim.cgh.org.tw/iclaim/StructureDefinition/claim-iclaim
base: http://hl7.org/fhir/StructureDefinition/Claim
version: 0.1.1